Molecular Detection and Identification of Zoonotic Microsporidia Spore in Fecal Samples of Some Animals with Close-Contact to Human

Background: Microsporidia species are obligatory intracellular agents that can infect all major animal groups including mammals, birds, fishes and insects. Whereas worldwide human infection reports are increasing, the cognition of sources of infection particularly zoonotic transmission could be helpful. We aimed to detect zoonotic microsporidia spore in fecal samples from some animals with close – contact to human. Methods: Overall, 142 fecal samples were collected from animals with closed-contact to human, during 2012-2013. Trichrome – blue staining were performed and DNA was then extracted from samples, identified positive, microscopically. Nested PCR was also carried out with primers targeting SSU rRNA gene and PCR products were sequenced. Results: From 142 stool samples, microsporidia spores have been observed microscopically in 15 (10.56%) samples. En. cuniculi was found in the faces of 3 (15%) small white mice and 1 (10%) laboratory rabbits(totally 2.81%). Moreover, E. bieneusi was detected in 3 (10%) samples of sheep, 2 (5.12%) cattle, 1 (10%) rabbit, 3 (11.53%) cats and 2 (11.76%) ownership dogs (totally 7.74%). Phylogenetic analysis showed interesting data. This is the first study in Iran, which identified E. bieneusi and En. Cuniculi in fecal samples of laboratory animals with close – contact to human as well as domesticated animal and analyzed them in phylogenetic tree. Conclusion: E. bieneusi is the most prevalent microsporidia species in animals. Our results can also alert us about potentially zoonotic transmission of microsporidiosis.


Introduction
icrosporidia group is an obligatory intracellular agent, which can infect all major animal groups including mammalian, birds, fishes and insects (1)(2)(3). At first, Microsporidia spp., were only known as causative agent of economic losses in silkworm, honeybee and fishery industries (3). With identification of microsporidiosis in human in 1959 (4) and increasing the reports of the infection in immunocompromised patients particularly in recent years, the worth of identification of infection in animals as potentially sources of zoonotic transmission, has been illuminated more than before (3).
Although there are vast information in epidemiology and infection of microsporidia, but the manner of transmission and source of human infection have not been clearly known (5,6). The zoonotic transmission of microsporidia has not been demonstrated yet, but this way could be concerned as a considerable reason of Microsporidia infection in Human populations. The species that infect human, particularly E. bieneusi and Encephalitozoon spp., have been reported frequently from wide range of mammalian hosts (7)(8)(9)(10). Several studies have been carried out on laboratory, household and wild animals as well as birds, which introduced them as potentially zoonotic sources of human intestinal microsporidiosis (8,9,(11)(12)(13)(14)(15)(16)(17)(18).
However, only few studies have been carried out around intestinal Microsporidia species in animals related to human in Iran. To date, some studies were performed on pigeon (19), cat and dog (14), but other human closedcontiguity animals have not been considered as potentially zoonotic sources. This study aimed to determine intestinal Microsporida species in laboratory rabbits and small white mice, ownership dogs, cats, dairy cattle and sheep.

Animal stool samples
A total of 142 fecal samples were collected from animals with closed-contact to human, containing laboratory small white mice (n=20), rabbits (n=10), ownership dogs (n=17), cats (n=26), sheep (n=30) and dairy cattle (n=39) during 2012-2013. Samples of ownership dog and cats were provided from Meshkin shahr district, Ardebil, Iran. Sheep and dairy cattle were provided from same farm in Tehran Province and finally laboratory animals sample was obtained from Animal House of School of Public Health, Tehran University of Medical Sciences.
Samples were washed according to method that mentioned elsewhere (20). Briefly, the samples were suspended in sterile PBS (pH: 7.5) and filtrated with sterile gases for debris exclusion. Remained suspension washed three times by sterile PBS (pH: 7.5). After final centrifuging at 2500 rpm for 10 min and removing the supernatant, remained pellet of each isolate was re-suspended in sterile PBS (pH: 7.5) , formalin -PBS 5% for molecular and parasitological survey, respectively.

Parasitology
Slim slides of each sample, stained with trichrome -blue staining, were performed (21). All the slides were examined under light microscope with high magnifications (1000 X). Ovoid, pinkish spore that were about 1-2.5 µm were considered as Microsporidia spp.

DNA extraction
DNA extraction was carried out for all microscopically positive and negative samples (20). Briefly, 250 µl of PBS suspended stool were transferred to 1.5 ml tube. After centrifuging in 10000 rpm for 5 min and removing the supernatant, 400 µl of lysis buffer (Tris 100mM, EDTA 10 mM, SDS 2% and 20 µg per µl of Proteinase K) and 300 µl volume of acid washed Glass beads (size 425-600 µm) were added to pellet. Every tube was shaken vigorously for 2 min and was placed in 60 °C for 4 hours. Samples were shaken every 30 min intensely. Subsequently, after centrifuging at 3000 rpm for 5 min and supernatant was M collected and transferred to Bioneer stool DNA extraction kit (Bioneer Corporation, Daejeon, Korea). Purified DNA stored at -20 °C until use.

Phylogenetic analysis
Phylogenetic tree was drawn based on our isolates and some non-human isolates retrieved from GenBank database. All of isolates information and their accession numbers were summarized in Table 1. Molecular alignment was performed using by ClustalW in Bioedit software and then phylogenetic tree was constructed using Molecular & Evolution Genetic Analysis software version 6 (MEGA 6) in Neighbor-Joining test and Tamura 3 parameter model. For calculating the reliability of the tree, Bootstrap value with 1000 replication was considered.

Ethical approval
All experiments on the animals, which were included in our study, were performed based on the guidelines of the Ethical Board of Tehran University of Medical Sciences, Iran, where the study was approved.

Results
From 142 stool samples, collected from the animals, Microsporidia spores were observed microscopically in 15 (10.56%). Size of spores in E. bieneusi was 1.2 -2µm and in En. cuniculi was about 2-2.5 µm. All of spores were pinkish, ovoid and ellipse in form. They were also differentiable from each other in microscopic field based on spore sizes. In most of samples, parasite rate was low to moderate. Nested-PCR using new primers, which mentioned above, could confirm all of the microscopically positive samples (Fig. 1).
Sequencing results and BLAST analysis confirmed the Nested-PCR results. All of samples, which were amplified with Encephalitozoon spp. specific primers, were characterized as En. cuniculi. The results of those, which were amplified with E. bieneusi specific primers, were also confirmed by sequencing. Accession numbers of submitted sequences are KJ414443 to KJ414452. According to phylogenetic tree analysis, all of isolates placed in two clades (Encephalitozoon cuniculi & Enterocytozoon bieneusi). All of En. cuniculi, obtained in this study, were grouped in one clade with highest Bootstrap value. E. bieneusi isolates which were obtained from dog, cats and rabbit were clustered together and those, which were isolated from sheep and cattle, were also placed in separated but close together (Fig. 2).

Discussion
Microsporidia infections are reported in immunocompromised patients, frequently. E. bieneusi and Encephalitozoon spp., which known as most prevalent species, could be main agents of variety range of involvements in immunocompromised individuals (22)(23)(24). Different sources have been concerned as potential agents of spreading the infection, so far (5,(25)(26)(27). In spite of the fact that zoonotic source probably play important role in human microsporidia infections, but the main transmission route of infection have not been clearly proved yet. Microsporidia spores released from stool, urine and collapsed carcasses can disperse via water and food sources. As discussed above, animals that have closecontact to human can also spread infected microsporida spores in human populations. Ad-ditionally, it is important to consider that there was no diarrhea or other characteristic sign of microsporidia infection in these animals and the parasite rate was moderate to low as well. Indeed, this subject can lead to more shedding and distributing of the spores in human society, because they were not considered as sick animals and were abandoned without receiving the treatment, subsequently. To date, study of the microsporidia infection in animals in Iran, have been carried out in two-limited study: cat, dog (14) and more recently on pigeon (19). Accessible data shows that, this study is the first assessment of intestinal microsporidiosis in vaster spectrum of domesticated and laboratory mammalian animals with close -contact to humans in Iran.
In this study, E. bieneusi and En. cuniculi spores were detected in fifteen cases. In addition, the percentage of infection among all of under assessment groups was approximately equal and prevalence of E. bieneusi was significantly more than En. cuniculi.
Our finding demonstrates that E. bieneusi more likely is the most prevalent microsporidia species among animals with close -contact to humans in Iran. This subject is in agreement with Pirestani and colleagues study that showed more incidence of E. bieneusi in pigeons (19). It is interest to mention that E. bieneusi in human population in Iran, particularly individuals with immune system deficiency, is also predominant species (20,28,29). Reports of widespread infection of E. bieneusi in mammalian animals as well as human reveal this fact that, even though zoonotic transmission has not been clearly proved yet, but more likely, infection via contiguity with farm, pet and laboratory animals could be one of the main routes in transmission cycle of E. bieneusi.
The numbers of animals infected with En. cuniculi, were significantly less than E. bieneusi. These findings can represent this fact that Encephalitozoon spp., has probably less effluence in domesticated animals as well as human in Iran (20,28,29). Additionally, all En. cuniculi infected cases were determined in both laboratory mice and rabbits. This finding is in agreement with other studies that emphasis on high prevalent of En. cuniculi in those animals (30,31).
Small Subunit ribosomal RNA (SSU rRNA) is one of conserved gene and can be useful in phylogenetic research of Microsporidia spp. (32,33), According to molecular finding of SSU rRNA gene, phylogenetic analysis showed near relationship between all of En. cuniculi which obtained in this study. As mentioned above, all of laboratory rabbits and mice samples were collected from same laboratory, so more likely the source of all En. cuniculi is same. On the other hand, E. bieneusi, which isolated from cats, ownership dog and laboratory rabbits, showed complete proximity in this fragment of SSU rRNA gene. Although sampling place of cat and ownership dog was equal and probably they were infected from same source, but the interesting point is similarity of laboratory rabbit isolates with those, which were isolated from cat and ownership dog. Furthermore, it is interest to mention that although cattle and sheep isolates have trivial differences with each other in sequence analysis at the positions but they were grouped more near together than those isolated from cats, laboratory rabbit and dog and this fact could be related to place of sampling. As mentioned former, cattle and sheep isolates, obtained from same dairy farm and different from other isolates, geographically.

Conclusion
E. bieneusi probably is the most prevalent microsporidia species in animal hosts as well as human in Iran and more likely infected animals with close-contact to human play an irrefutable role in transmission cycle of Microsporidia spp., particularly E. bieneusi. Our results also show that animals especially domesticated ones, without clinical sign could be importance in zoonotic transmission of microsporidia species.